tci Part B Insider - 2012 Issue 38

Part B Mythbuster: Locum Tenens Won't Solve Billing Problems for New Physicians Who Aren't Yet Credentialed

Medicare won't accept locum tenens an appropriate billing scenario for an uncredentialed physician.Myth: Tired of waiting for your new physician's Medicare credentialing to process? You can just report the new doctor's service under an existing physician's ID number and append the locum tenens modifier to it, right?Reality: No way. Locum tenens is designed to represent services performed "in the absence of the regular physician," according to chapter 1 of the Medicare Claims Processing Manual.The scenario: Many practices have grown frustrated at wait times for Medicare credentialing when they hire a new physician, so they simply...

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